Evaluation of Science developed by the HAITooL project: A toolkit to prevent, manage, and control Health Care associated infections
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25761/anaisihmt.263 |
Resumo: | Demographic and epidemiological changes have led to the need of applying scientific advances in clinical practice. Despite all the evidence, good practice is not yet a reality in health systems. The difficulty in applying these practices regarding the health professionals, resides in the many cultural barriers, in the available information management, and in the lack of interinstitutional collaboration.Healthcare Associated Infections (HAIs) are one of the major causes of morbidity and mortality, accounting for about 37,000 deaths per year in Europe. Antibiotics are important in HAIs control, but inadequate prescription leads to increased antimicrobial resistance.Antibiotic Stewardship Programs contribute to the optimization of antimicrobial therapy, ensuring the proper use of antibiotics and minimizing side effects. Strategies based on surveillance and monitoring systems are an important tool for the implementation of Antibiotic Stewardship. Following the whole process of bringing innovation to health organizations, applying scientific evidence in the local reality, the HAITool scientific project (an information system with the aim of supporting clinical decision) emerged. In the present study, the development of this scientific project and its impact on health systems were analyzed and evaluated. A timeline of the HAITool scientific project was built to understand how it developed and how it contributed to scientific development.HAITool was also evaluated through interviews with key people in the project to analyze their implementation, their effects and their clinical impact.The results demonstrate that research takes a long time to reach an effective impact in society due to the many attempts and errors that occurred over time. Despite all the barriers in the implementation of this project, from healthcare professionals to the hospital administration through technical issues, over time this system has demonstrated that it is clearly an innovation with regards to patient safety and against the Public Health problem. |
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Evaluation of Science developed by the HAITooL project: A toolkit to prevent, manage, and control Health Care associated infectionsAvaliação da ciência desenvolvida pelo projeto HAITool - Uma ferramenta para prevenir, gerir e controlar as infeções associadas aos cuidados de saúdeDemographic and epidemiological changes have led to the need of applying scientific advances in clinical practice. Despite all the evidence, good practice is not yet a reality in health systems. The difficulty in applying these practices regarding the health professionals, resides in the many cultural barriers, in the available information management, and in the lack of interinstitutional collaboration.Healthcare Associated Infections (HAIs) are one of the major causes of morbidity and mortality, accounting for about 37,000 deaths per year in Europe. Antibiotics are important in HAIs control, but inadequate prescription leads to increased antimicrobial resistance.Antibiotic Stewardship Programs contribute to the optimization of antimicrobial therapy, ensuring the proper use of antibiotics and minimizing side effects. Strategies based on surveillance and monitoring systems are an important tool for the implementation of Antibiotic Stewardship. Following the whole process of bringing innovation to health organizations, applying scientific evidence in the local reality, the HAITool scientific project (an information system with the aim of supporting clinical decision) emerged. In the present study, the development of this scientific project and its impact on health systems were analyzed and evaluated. A timeline of the HAITool scientific project was built to understand how it developed and how it contributed to scientific development.HAITool was also evaluated through interviews with key people in the project to analyze their implementation, their effects and their clinical impact.The results demonstrate that research takes a long time to reach an effective impact in society due to the many attempts and errors that occurred over time. Despite all the barriers in the implementation of this project, from healthcare professionals to the hospital administration through technical issues, over time this system has demonstrated that it is clearly an innovation with regards to patient safety and against the Public Health problem. Com as alterações demográficas e epidemiológicas sentidas, surge a necessidade de aplicar os avanços científicos na prática clínica. A dificuldade em aplicar estas práticas no contexto dos profissionais de saúde reside nas várias barreiras culturais, na gestão de toda a informação disponível e na escassa colaboração interinstitucional. As infeções associadas aos cuidados de saúde (IACS) são hoje uma das principais causas de morbidade e mortalidade, com cerca de 37.000 óbitos por ano na Europa. Os antibióticos são importantes no controlo das IACS, porém, a sua prescrição inadequada leva a um aumento da resistência antimicrobiana. Os Antibiotic Stewardship Program's, podem contribuir para a optimização da terapia antimicrobiana, garantindo o uso adequado de antibióticos e minimizando os efeitos colaterais. As estratégias baseadas em sistemas de vigilância e monitorização são uma ferramenta importante para a implementação e sustentabilidade de Antibiotic Stewardship, No processo de trazer a inovação para as organizações de saúde, e aplicar as evidências científicas na realidade, surgiu o projeto científico HAITool,com o objectivo de desenvolver um sistema de informação de apoio à decisão clínica. Neste estudo foi analisado o desenvolvimento e a evolução deste projeto científico e o seu impacto nos sistemas de saúde. Foi construída uma linha temporal do projeto HAITool, para compreender melhor como este se desenvolveu e como evoluíram as suas contribuições científicas. Foi também feita uma avaliação ao HAITool, onde foram realizadas entrevistas a pessoas chave no projeto, para analisar a sua implementação, os seus efeitos e o seu esperado impacto clínico. Os resultados demonstram que a pesquisa necessita de algum tempo até alcançar impacto efectivo na sociedade e que é resultado das diversas tentativas e dos diversos erros ao longo do tempo. Apesar da diversidade de barreiras na implementação deste projeto, desde a resistência dos profissionais de saúde e das administrações hospitalares até às questões técnicas, o HAITooL vem demonstrando, ao longo do tempo, que é uma inovação no que respeita à segurança do paciente e no envolvimento dos profissionais na co-criação de um sistema alinhado com os processos de trabalho e com as instruções da Direcção Geral da Saúde. Universidade Nova de Lisboa2019-02-26T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.25761/anaisihmt.263oai:ojs.anaisihmt.com:article/263Anais do Instituto de Higiene e Medicina Tropical; Vol 17 (2018): Suplemento Nº2; 57-74Anais do Instituto de Higiene e Medicina Tropical; v. 17 (2018): Suplemento Nº2; 57-742184-23100303-7762reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://anaisihmt.com/index.php/ihmt/article/view/263https://doi.org/10.25761/anaisihmt.263http://anaisihmt.com/index.php/ihmt/article/view/263/219http://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRocha Baião, BernardoVelez Lapão, Luís2022-09-23T15:30:25Zoai:ojs.anaisihmt.com:article/263Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:03:59.151398Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Evaluation of Science developed by the HAITooL project: A toolkit to prevent, manage, and control Health Care associated infections Avaliação da ciência desenvolvida pelo projeto HAITool - Uma ferramenta para prevenir, gerir e controlar as infeções associadas aos cuidados de saúde |
title |
Evaluation of Science developed by the HAITooL project: A toolkit to prevent, manage, and control Health Care associated infections |
spellingShingle |
Evaluation of Science developed by the HAITooL project: A toolkit to prevent, manage, and control Health Care associated infections Rocha Baião, Bernardo |
title_short |
Evaluation of Science developed by the HAITooL project: A toolkit to prevent, manage, and control Health Care associated infections |
title_full |
Evaluation of Science developed by the HAITooL project: A toolkit to prevent, manage, and control Health Care associated infections |
title_fullStr |
Evaluation of Science developed by the HAITooL project: A toolkit to prevent, manage, and control Health Care associated infections |
title_full_unstemmed |
Evaluation of Science developed by the HAITooL project: A toolkit to prevent, manage, and control Health Care associated infections |
title_sort |
Evaluation of Science developed by the HAITooL project: A toolkit to prevent, manage, and control Health Care associated infections |
author |
Rocha Baião, Bernardo |
author_facet |
Rocha Baião, Bernardo Velez Lapão, Luís |
author_role |
author |
author2 |
Velez Lapão, Luís |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Rocha Baião, Bernardo Velez Lapão, Luís |
description |
Demographic and epidemiological changes have led to the need of applying scientific advances in clinical practice. Despite all the evidence, good practice is not yet a reality in health systems. The difficulty in applying these practices regarding the health professionals, resides in the many cultural barriers, in the available information management, and in the lack of interinstitutional collaboration.Healthcare Associated Infections (HAIs) are one of the major causes of morbidity and mortality, accounting for about 37,000 deaths per year in Europe. Antibiotics are important in HAIs control, but inadequate prescription leads to increased antimicrobial resistance.Antibiotic Stewardship Programs contribute to the optimization of antimicrobial therapy, ensuring the proper use of antibiotics and minimizing side effects. Strategies based on surveillance and monitoring systems are an important tool for the implementation of Antibiotic Stewardship. Following the whole process of bringing innovation to health organizations, applying scientific evidence in the local reality, the HAITool scientific project (an information system with the aim of supporting clinical decision) emerged. In the present study, the development of this scientific project and its impact on health systems were analyzed and evaluated. A timeline of the HAITool scientific project was built to understand how it developed and how it contributed to scientific development.HAITool was also evaluated through interviews with key people in the project to analyze their implementation, their effects and their clinical impact.The results demonstrate that research takes a long time to reach an effective impact in society due to the many attempts and errors that occurred over time. Despite all the barriers in the implementation of this project, from healthcare professionals to the hospital administration through technical issues, over time this system has demonstrated that it is clearly an innovation with regards to patient safety and against the Public Health problem. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-02-26T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://doi.org/10.25761/anaisihmt.263 oai:ojs.anaisihmt.com:article/263 |
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https://doi.org/10.25761/anaisihmt.263 |
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oai:ojs.anaisihmt.com:article/263 |
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por |
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http://anaisihmt.com/index.php/ihmt/article/view/263 https://doi.org/10.25761/anaisihmt.263 http://anaisihmt.com/index.php/ihmt/article/view/263/219 |
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http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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Universidade Nova de Lisboa |
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Universidade Nova de Lisboa |
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Anais do Instituto de Higiene e Medicina Tropical; Vol 17 (2018): Suplemento Nº2; 57-74 Anais do Instituto de Higiene e Medicina Tropical; v. 17 (2018): Suplemento Nº2; 57-74 2184-2310 0303-7762 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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